Shirly Susan Samuel, MD
NPI 1619506508ActiveIndividual· Internal Medicine· Oak Park, IL
Internal Medicine (MD) with Cimpar SC, practicing in Oak Park, Illinois. In 2024 Medicare paid $31,734 for 105 patients, and Part D covered 228 of their prescriptions, 89% of them generic. Lists Loretto Hospital as a hospital affiliation.
Overview
| NPI | 1619506508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 3, 2020 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036.165713 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 382 across 9 procedure codes |
| Paid by Medicare | $31,734 |
Part D prescriptions in 2024
| Prescriptions (claims) | 228 · 266 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $13,281 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Cimpar SCOak Park, IL · 35 clinicians
Hospital affiliation
- Loretto HospitalChicago, IL
Other facilities
- Citadel at Casa ScalabriniNursing home · Northlake, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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